CAJ | 학술논문

目的：对云南省9例肠道病毒71型（Enterovirus 71，EV71）感染后死亡的病例进行尸体检验，探讨EV71死亡案例的法医学特点。方法对昆明医科大学司法鉴定中心2010年7月22日至2013年5月30日，9例EV71死亡案例尸检资料进行分析。结果9例患者均有“发热、咳嗽、呕吐”等临床表现，9例患者均有医疗机构按“感冒”或“手足口病”治疗的过程，9例尸检病理诊断为病毒性脑干脑炎致中枢性呼吸循环功能衰竭死亡。结论 EV71感染所致手足口病的病情发展较快，常导致脑干脑炎，引起死亡，易引发医疗纠纷，死亡患者的死因与家属及院方考虑的死因出入较大，及早开展死因鉴定有利于解决纠纷。
목적：대운남성9례장도병독71형（Enterovirus 71，EV71）감염후사망적병례진행시체검험，탐토EV71사망안례적법의학특점。방법대곤명의과대학사법감정중심2010년7월22일지2013년5월30일，9례EV71사망안례시검자료진행분석。결과9례환자균유“발열、해수、구토”등림상표현，9례환자균유의료궤구안“감모”혹“수족구병”치료적과정，9례시검병리진단위병독성뇌간뇌염치중추성호흡순배공능쇠갈사망。결론 EV71감염소치수족구병적병정발전교쾌，상도치뇌간뇌염，인기사망，역인발의료규분，사망환자적사인여가속급원방고필적사인출입교대，급조개전사인감정유리우해결규분。
Objective To investigate the forensic characteristics of death cases of EV71 through retrospective analysis of 9 death forensic cases of Enterovirus 71 (EV71) . Methods Nine cases of EV71 death cases were collected,and the population characteristics, histopathological change,toxicology,pathology and causes of death of these cases were discussed. Results All 9 patients had fever, cough, emesis, and were treated as influenza or hand-foot and mouth disease (HFMD) in local hospitals, the condition was still deteriorating and finally died. The 9 autopsy cases were diagnosed as brain stem encephalitis and death in forensic diagnose. Conclusion The HFMD disease caused by EV71 infection progresses rapidly often leads to medical disputes, the patient's family and hospital's opinions on the causes of death in patients are often different,identifying the cause of death is conducive to resolve the disputes.